Individual
KENDALL C NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., RADIOLOGY, URBANA, IL 61801
(217) 383-3270
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
036101939
IL
Other
Enumeration date
08/23/2006
Last updated
05/19/2014
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